J Korean Assoc Maxillofac Plast Reconstr Surg.  2000 May;22(3):265-273.

A study on the bone mineral density of iliac and tibial bone using dual energy x-ray absorptiometry

• Cho YS
• Kim KW
• Lee KH
• Park HJ
• Seo SS
• Oh SY

Abstract

PURPOSE: The aim of this study was to evaluate the bone mineral density of iliac and tibial bone which are frequently selected as autogenic bone graft donor sites, and to evaluate the efficiency of this method as a guideline for the selection of bone graft donor site.
MATERIALS AND METHODS
In this study 61 male and 70 female volunteers at Chungbuk National University Hospital were involved between Jan. 1998 to Sept. 1999. We measured bone mineral density of the iliac and the tibial bone using dual energy X-ray absorptiometry. We evaluated the data using the SAS system for Windows and bone mineral density of the lumbar was used for control.
RESULTS
Age showed the highest correlation in correlation matrix between physical and bone variables. Height and weight showed lower correlation of linear increment. In man, the change of bone density according to age demonstrated linear decrease irrespective of the lumbar, ilium, and tibia. In woman, the change of bone density according to age showed cubic form, which increased in the third and forth decade. So it had a peak bone mass on about 35 year-old, thereafter, the change of bone density slowly decreased until 50 year-old, but it rapidly decreased after 50 year-old and it slowly decreased again after 65 year-old. Both in all subjects and subject with osteoporosis, the change of bone mineral density according to age showed statistically significant decrease in lumbar and tibia, but ilium was irrespective.
CONCLUSION
In patients of aged or with osteoporosis, ilium demonstrated less tendency of decrease in bone mineral density than tibia. So this preliminary study suggested that ilium seemed better donor site for autogenic bone graft than tibia.

MeSH Terms

Absorptiometry, Photon*
Adult
Aged
Bone Density*
Chungcheongbuk-do
Female
Humans
Ilium
Male
Middle Aged
Osteoporosis
Tibia
Tissue Donors
Transplants
Volunteers